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Office of Human Resources
207 Race Hall
Dept 3603
615 McCallie Avenue
Chattanooga, TN 37403

(423) 425-4221
(423) 425-4574 fax
Office Hours:
Monday through Friday
8:00 a.m. - 5:00 p.m.

Home / Human Resources / Forms...

Forms

The Office of Human Resources provides free notary services. A photo ID is required and signature MUST be made in the presence of a notary. Please phone 425-4221 to ensure that a notary will be available when you visit our office.

• Career Development Fund Application and Guidelines

Designation of Beneficiary

• Designation of Beneficiary (HRO307: Benefit in the Event of an Employee Death)

Direct Deposit (see Payroll Forms below)

Employee Recognition

• Chancellor's Blue Ribbon Award

Employment Form

• Application for Employment
  NOTE: Some positions now require that you apply on-line. Other positions will require a paper application. Please check the ad in Staff Job Openings to see which is required.
• TCRS Temporary Employment Form for retired-rehired employee

Fee Waivers 

• Fee Waiver for Employees attending UTC, UTK, or other UT institution
• Fee Waiver for Employees attending Chattanooga State or other Board of Regents School
• Fee Discount for Spouse/Dependent Child

Flexible Reimbursements

• Flexible Benefits Enrollment
• Dependent Listing for Dependent Care Account
• Dependent Care Reimbursement Claim
• Medical Expense Reimbursement Claim

I - 9 (see Payroll Forms below)

Leave Record

• Per 12

Outside Interests Disclosure

• Outside Interests Disclosure Form for Faculty and Staff

Payroll Forms

• Direct Deposit
• Does Not Interfere must be completed if requesting Additional Pay
• IRIS Human Resources/Payroll
• Occasional and Sporadic Pay
• Non - U S Citizens
• I - 9 Employment Eligibility Verification and lists of acceptable documents
• W - 4 Withholding Tax for 2008
• W - 5 Earned Income Credit for 2008

Position Description Questionnaire (PDQ)

• Position Description Questionnaire

PDQ Training Materials

• Powerpoint Presentation
• Example 1: A poorly-written PDQ
• Example 2: A well-written PDQ

Request for Training Credit

• Request for Additional Credit

Sick Leave Bank

• Sick Leave Bank Enrollment Request Form

Staff  Performance & Development Review (SPDR)

• Commendation for Distinguished Service
• 2008 Staff Performance & Development Review
  for review period Jan 1 - Dec 31, 2007 (Word version is the preferred format)
  Summary Review MUST also be completed
  Instructions for completing Summary Review
• 2008 Staff Performance & Development Review
  for review period Jan 1- Dec 31, 2007 (pdf includes Summary Review)
  Instructions for completing Summary Review

Tax Deferred Income Plans

• 401k and 457
• 403b

Workers' Compensation

• Accident Report
• Medical Provider Appointment Time Sheet
• Supervisor's Report
• Supervisor/Department Checklist

Last updated February 6, 2008